Study on the effect of home-based cardiac rehabilitation adherence in patients undergoing transcatheter aortic valve replacement based on mobile healthcare
10.3761/j.issn.0254-1769.2025.17.006
- VernacularTitle:基于移动医疗的经导管主动脉瓣置换术患者居家心脏康复依从性效果研究
- Author:
Yingying JIA
1
;
Ya WANG
;
Hongxing WANG
;
Jianping SONG
Author Information
1. 310009 杭州市 浙江大学医学院附属第二医院护理部
- Publication Type:Journal Article
- Keywords:
Transcatheter Aortic Valve Replacement;
Cardiac Rehabilitation;
Nursing Care;
Home;
Behavior Change Wheel
- From:
Chinese Journal of Nursing
2025;60(17):2079-2086
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a home cardiac rehabilitation program based on mobile healthcare for patients undergoing transcatheter aortic valve replacement(TAVR)and validate its application effectiveness.Methods Based on the best evidence summary,using the Behavior Change Wheel as a framework,15 experts from relevant fields were invited for the Delphi expert consultation to construct a home-based cardiac rehabilitation program and devel-op an intervention system.Using convenience sampling method,72 patients from a tertiary hospital in Zhejiang Province from January to March 2024 were selected as research subjects,and the intervention was implemented from June to August 2024.They were randomly divided into an experimental group and a control group using a random number table method,with 36 cases in each group.The experimental group received a home rehabilitation program based on mobile healthcare on the basis of routine care,while the control group received routine care.The differences in outcome indicators were compared between 2 groups of patients after 12 weeks of intervention.Re-sults The expert authority coefficients for the 2 rounds of Delphi expert inquiry were 0.95,and Kendall's W were 0.591 and 0.414,respectively(P＜0.001).The final draft of the intervention plan includes 6 primary indicators,14 secondary indicators,and 25 tertiary indicators.A total of 70 patients completed the intervention,with 35 in the ex-perimental group and 35 in the control group.Before intervention,there was no statistically significant difference in home cardiac rehabilitation exercise compliance,frailty,and activities of daily living ability between the 2 groups(P＞0.05).After 12 weeks of intervention,the scores of the home-based cardiac rehabilitation exercise adherence scale in the experimental group improved compared to the control group(Z=-7.203,P＜0.001).Conclusion The home reha-bilitation program for TAVR patients based on mobile healthcare is scientific and feasible,and can effectively im-prove patients' exercise compliance with home cardiac rehabilitation.In the future,the rehabilitation program and the system can be continuously optimized in the clinical application to improve patient prognosis.
